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Explaining the dimensions of social support for breakfast and healthy snacks in students: a qualitative study

Fatemeh Bastami , Arash Ardalan , Fereshteh Zamani-Alavijeh and Firoozeh Mostafavi EMAIL logo

Abstract

Background

breakfast elimination as well as consumption of low-value snacks is ever increasing among adolescents. This study sought to explain the dimensions of social support for breakfast and healthy snacks among students.

Methods

A qualitative research was conducted in Isfahan, Tehran, and Khorramabad, Iran high schools in 2017–18. Data were obtained from five focus group discussions and 35 in-depth interviews as well as semi-structured interviews with students of both sex, parents and school authorities. The data simultaneously analyzed using conventional content analysis in three stages including preparation, organization, and reporting. Prolonged engagement, maximum variation of sampling and member check were the enrichment factors of the research.

Results

Three main categories emerged. First, family supports with sub- categories of family in the school programs as well as mother-sponsored support and family life patterns. Second, school supports with sub- categories of instrumental and informational support. And third, support of other community organizations with sub- categories of intra-department coordination and mass media.

Conclusion

The concepts emerging in the present study develop multilevel ecological strategies to promote nutritional health including family, school, and community organizations such as school renovations, municipalities, police, education, and mass media to promote healthy breakfast and snack behavior are applicable for students.


Corresponding author: Firoozeh Mostafavi, Associate Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Islamic Republic of Iran, E-mail:

Award Identifier / Grant number: 396420

Acknowledgment

The researchers would also like to express their gratitude to Dr. Marzieh Araban Faculty member of the Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran and Iraj Zareban Faculty member of the Zahedan University of Medical Sciences, Zahedan, Iran for thier cooperation in the editing of the article.

  1. Research funding: This study was funded by the Isfahan University of Medical Sciences as part of a doctoral thesis with the registration number 396420.

  2. Authors’ contributions: FM and FB have made substantial contributions to conception and design, writing and revising the manuscript. FZ-A and AA were involved in drafting the manuscript and revising it critically for important intellectual content.

  3. Competing interests: All authors have read and approved the content of the article. The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

  4. Ethics approval and consent to participate: Informed consent was obtained from the parents. Consent to participate was verbal. The parents consented to the recording of the voices of the students during interviews. The Ethics Committee of Isfahan University of Medical Sciences approved the study protocol with the approval number IR.MUI.REC. 1396.3.420.

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Received: 2019-11-29
Accepted: 2020-01-14
Published Online: 2020-11-02

© 2020 Walter de Gruyter GmbH, Berlin/Boston

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